Double eyelid surgery creates a crease that makes the eyes appear larger and more alert. While Caucasians typically are born with a double eyelid crease, approximately 50% of Asians do not have a double eyelid crease. Therefore, double eyelid surgery is a highly specialized procedure performed mainly on persons of Asian descent. While the surgical technique of double eyelid surgery is not different between male and female patients, aesthetic considerations of the surgery such as the width and shape of the crease differs between the sexes. For example, most women want a slightly exaggerated eyelid fold to assist with the application of makeup such as eyeshadow while men desire a narrower and more masculine fold.

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